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Organization
PM MANAGEMENT CORSICANA NC II LLC
Active
Organization
PM MANAGEMENT CORSICANA NC II LLC
Active
Other names
Heritage Oaks Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
3002 W 2ND AVE, CORSICANA, TX 75110-2492
(903) 872-1530
(903) 872-5949
Mailing address
600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
(214) 252-7600
(214) 252-7704
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
132227
TX
314000000X
Skilled Nursing Facility
Primary
131490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019214
—
TX
01
—
005357
FACILITY ID
TX
Enumeration date
12/02/2010
Last updated
03/05/2020
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